Individual
KRISTEN REBECCA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1151 W 9TH ST, RUSSELLVILLE, KY 42276-9760
(270) 847-4033
Mailing address
PO BOX 50017, BOWLING GREEN, KY 42102-2617
(270) 792-5389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4008140
KY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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